DecisionHealth, DecisionHealth - 2013 Issue 10 (October)

Denial rates on the rise for initial, subsequent inpatient E/M visits

Your odds of seeing a denial when billing new and established patient E/M visits are on the rise — no matter which of the six codes you select, according to a Part B News analysis of Medicare billing data from 2011-2012 featured in this week’s benchmark. The increases are relatively small, but with over 110.2 million inpatient services billed in 2012, even a mild increase in denial rates is costly to physicians.

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